Tidewater Vision Occupational Therapy PLLC

Primary specialty

Low Vision Occupational TherapistTaxonomy code 225XL0004X

Legal business name

TIDEWATER VISION OCCUPATIONAL THERAPY PLLC

Practice address

1441 Magnolia Ave
Norfolk, VA 23508-1153

Phone

(757) 985-7555

NPI assigned

Aug 18, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amber N Chonsky, OTR/L

Title

Occupational Therapist

Phone

(757) 985-7555

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1982216487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 MAGNOLIA AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 MAGNOLIA AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081153",
            "telephone_number": "757-985-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER VISION OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "CHONSKY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "757-985-7555",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Low Vision Occupational Therapist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Low Vision Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.